Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 184543 | NY |
NPI | 1184619405 |
---|---|
Provider Name | Carmen Torrado-Jule |
First Address | Staten Island, NY 10310-2512 |
Second Address | Staten Island, NY 10310-2512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 21/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01351555 | (05) | NY |
F25740 | (02) | NY |